Provider Demographics
NPI:1215216999
Name:ESCALERA, TAMU L (RN)
Entity Type:Individual
Prefix:MRS
First Name:TAMU
Middle Name:L
Last Name:ESCALERA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 IMPERIAL CT
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20602-2207
Mailing Address - Country:US
Mailing Address - Phone:240-210-5864
Mailing Address - Fax:
Practice Address - Street 1:2300 IMPERIAL CT
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602-2207
Practice Address - Country:US
Practice Address - Phone:240-210-5864
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-11
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1011733163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse